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Enter today's date:
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Please provide the following information about yourself:
Name Street Address Address (cont.) City State ZipCode Home Phone FAX E-mail
How did you find out about this job?
Employee Friend Walk-in Website Other
Select the location(s) where you can work:
Lyndon Frankfort Ave. Douglass Loop Lake Forest
Position(s) applied for:
Manager Assistant Manager Cook Food Prep Cashier Server Dishwasher
Are you at least 18 years old?
Yes No
Are you at least 20 years old?
Are you legally eligible for employment in the U.S.?
What type of employment are you seeking?
Full time Part time Temporary
What shift(s) would you prefer to work?
Lunch Dinner Either Both
Are you willing to work overtime?
Are you willing to work weekends?
Are you currently employed?
If hired, when would you be able to start?
List any friends or relatives employed by Fat Jimmy's.
Have you ever been discharged or asked to resign from any position?
If yes, please describe:
What High School do / did you attend?
When did / will you graduate from High School?
What College do / did you attend?
When did / will you graduate from College?
Current or most recent employer's contact information and Supervisor's Name:
Supervisor's Name Supervisor's Title Company Name Street Address Address (cont.) City State Zip Code Work Phone
Previous employer's contact information and Supervisor's Name:
May we contact the employers listed above?
If not, list the employers you do not wish us to contact and why: